Consumer directed community supports

Consumer directed community supports (CDCS) is a unique service option that gives you flexibility and responsibility to direct your services and supports, CDCS may include services, supports and items currently available through the Medical Assistance waivers, as well as additional services.

Your CDCS budget is set using information from your most recent assessment and screening documents. You must be assessed by your county case manager, tribal entity or health plan representative every year to remain on the waiver and CDCS.

If your needs stay the same, you should expect that your budget will remain about the same from year to year.

You decide how to use the funds in your CDCS budget to meet your service and supports needs and preferences within the guidelines of the CDCS service and the waiver or Alternative Care program. Your budget amount is the maximum amount of funds you have to use for your services and supports for one full year.

If you choose CDCS as a service option, you must choose a fiscal support entity (FSE) to help you manage your services and supports and help with employer-related responsibilities.

Fiscal support entities may provide a range of services as long as they provide payroll assistance at the minimum.

Fiscal conduit model

Consumer is the employer

FSE is the bill payer.

Payroll model

Consumer is the employer

FSE is the bill payer, helps with paperwork and provides education to you.

Agency with choice model

FSE is the bill payer, helps with paperwork, provides education to the consumer and is also the employer.

Approved FSEs

The following agencies have been approved as fiscal support entities and most are available statewide. Counties must work with these enrolled providers to assure access to consumer directed services for consumers.